Evidence map›Paper›PMID 40597899›Full record

SynthesisBMC ophthalmology2025

Optical coherence tomography angiography measurements in tamoxifen associated retinopathy: a systematic review and meta-analysis.

Mohammad Reza Abdol Homayuni, Reza Sadeghi, Sepideh Poshtdar, Alireza Ramandi, Reza Nikfar, Nazanin Ebrahimiadib

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Structural and microvascular retinal changes in tamoxifen users assessed by optical coherence tomography and OCT angiography.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohammad Reza Abdol Homayuni *Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Reza Sadeghi *Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Sepideh PoshtdarStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Alireza RamandiDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, US.
Reza NikfarEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Nazanin EbrahimiadibDepartment of Ophthalmology, College of Medicine, University of Florida, Gainesville, FL, USA. nebrahimiadib@ufl.edu.ORCID http://orcid.org/0000-0002-2058-9225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the evidence for tamoxifen induced alterations of retina blood flow in macula region, using Optical Coherence Tomography Angiography (OCTA).

methodsA systematic review of PubMed, Google Scholar, Scopus, Web of Science, Cochrane, and Embase databases, including quality assessment of published studies, investigating the alterations of OCTA parameters in Tamoxifen Associated Retinopathy (TAR) was conducted. The outcomes of interest comprised alternations of Vascular Densities (VD) in Superficial and Deep capillary plexus (SCP and DCP) of fovea and parafovea, Telangiectatic vessels (TL), and the Right-Angled Vessels (RAVs).

resultsFrom the total of 680 articles obtained from the databases, the pool of papers was narrowed down to studies published until May 2024. Lastly, 5 studies were included. Our analysis demonstrated that 80% (95%CI: 63-97%) and 33% (95%CI: 23-44%) of patients on tamoxifen would manifest TL and RAVs in their OCTA, respectively. Tamoxifen patients had lower DCP-F and SCP-F vessel densities; however, only the drop in DCP-F vessel density was statistically significant (MD: -0.46, CI: -0.90 to - 0.01, p-value: 0.04).

conclusionOur results show that OCTA findings such as RAV and TL and vascular density DCP-F have been significantly altered compared to healthy controls. These findings demonstrate how OCTA can provide a non-invasive assessment of tamoxifen effects on the retinal microvasculature, potentially serving as a trustworthy biomarker for more accurate TAR identification and monitoring.

Indexed as

Antineoplastic Agents, HormonalFluorescein AngiographyRetinal DiseasesRetinal VesselsTamoxifenTomography, Optical CoherenceHumansAntineoplastic Agents, HormonalTamoxifenDeep capillary plexusOptical coherence tomography angiographyRight-Angled vesselsSuperficial capillary plexusTamoxifenTamoxifen associated retinopathyTelangiectatic vessels

Identifiers

PMID40597899
PMCPMC12217189

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.